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DOCUMENT TITLE DOCUMENT No.
CORRECTIVE ACTION DOC. PROJECT UNIT DIS. SEQ. REV.
PROCEDURE
Corrective Action Form
Originator : Responsible Person :
Corrective
Action Position: Position :
CAR No.
Issue date of CAR :
1. Non Conformance References
1) Nonconformity (Classification : o QMS / o Product)
Criteria:
2) Reference
o NCR: Doc. No.
o Audit Report: QAR No.
o Others:
2. Planning and Implementation of Corrective Action References
1) Cause of Nonconformity:
2) Action taken to prevent reoccurrence:
3) Controls to ensure that action is effective:
4) Due Date: Completion Date:
3. Review of Corrective Action References
1) Evaluation of effectiveness of action : o Action Completed o Not Completed
Person in Charge: Date of Evaluation:
2) When the action is completed :
a) Revision to Project Procedures or technical standards o Yes / o No
b) If yes, name of procedure or standard:
3) Follow up action when corrective action is not completed:
Contractor Project Directorate Distribution
Control
Preparation Approval PE PM QUALITY Manager
Signature
Date